STACY A NOVAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069199

License Status

NOT RENEWED

Business

First Name

STACY A

Last Name

NOVAK

Business Name

STACY A NOVAK

Original Issue Date

12/21/1990

Expiration Date

01/31/1995

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005